ObjectiveTo explore the experience of diagnosis and treatment for ectopic appendicitis under laparoscope. MethodsThirty-three ectopic appendicitis patients aged 6-75 years had the manifestations of abdominal pain, nausea and vomiting, and were complicated with hyperpyrexia and diarrhea. The physical examinations manifested as abdominal muscle tension, local tenderness and rebound tenderness. All cases received laparoscopic exploration and appendectomy under general anesthesia. ResultsOf 33 cases with ectopic appendicitis, pelvic appendicitis, left-side appendicitis, high-positioned appendicitis, retroperitoneal appendicitis and cecal intramural appendicitis were found in 8 cases(24.2%), 5 cases (15.2%), 13 cases(39.4%), 6 cases (18.2%) and 1 cases (3.0%) respectively. All cases received laparoscopic appendectomy. The operative duration was （20.5±5.5）min, intraoperative blood loss was （3.5±1.5）mL, duration for anal exhaust was （18.5±4.2）h and hospital stay was （3.32±1.35）d. All cases were confirmed as appendicitis by postoperative pathology. No complications including incision infection, intraperitoneal abscess and ileus were found. ConclusionEctopic appendicitis deserves attention due to its atypical clinical symptoms and low preoperative diagnosis rate. Laparoscopic diagnosis and treatment obtains obvious advantages.

无